| NPI | 1427319573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROSALES CEO/Executive Clinical Director 760-625-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-12-10337) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA LEP3111) |
| 103TC1900X Psychologist, Counseling (Licence: CA LEP3111) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA LEP3111) | |
| 103TS0200X Psychologist, School (Licence: CA LEP3111) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-05-18 |